子宮內膜異位症與子宮腺肌症婦女的經痛經驗及其對生活品質之探討
Dysmenorrhea Experience and Its Impacts on Quality of Life in Women With Endometriosis and Adenomyosis
中文摘要
本研究目的在探討及比較子宮內膜異位症與子宮腺肌症婦女經痛的經驗及其對 生活品質的影響。本研究採取橫斷式的研究設計，以立意取樣方式得共選取155 人，經手術或病理切片的診斷分為三組：輕度子宮內膜異位組為20 人，中、重 度子宮內膜異位組為80 人，子宮腺肌症組為 55 人。統計以描述性統計、單因子 變異數分析(one way ANOVA)及事後檢定(Scheffe’s post hoc )。研究結果發現：
(1) 子宮腺肌症比子宮內膜異位症在經痛情感層面及整體疼痛強度較強，在經痛 天數、經痛年數持續時間較久; (2)子宮腺肌症比子宮內膜異位症在整體生活品質 和五大層面生活品質(疼痛、控制和無力感、情緒安適、社會支持、自我形象) 上有 較大的影響; (3)經痛情感層面愈強、整體疼痛強度愈強、疼痛部位數量愈多及年 齡愈大者，對整體生活品質的影響愈大，呈現正相關，可解釋整體生活品質之 總變異量的35.5%，其中經痛情感層面對整體生活品質有最大的解釋力。此研究 結果期能增加健康照護人員對子宮內膜異位症及子宮腺肌症病患經痛經驗的瞭 解，對提昇該群婦女之照護預期有實質貢獻。
英文摘要
The aims of the cross-sectional study were to compare the experiences of dysmenorrhea and the impacts on the quality of life (QOL) in women with endometriosis and adenomyosis. A total of 155 women were recruited. Study subjects were classified into 3 groups based on their diseases status: stage I and II endometriosis (n=20), stage III and IV endometriosis (n=80), and adenomyosis (n=55). The descriptive statistics, ANOVA, Pearson’s correlations, and multiple regression were used to analyze the data. The results showed that (1) women with adenomyosis had significantly higher levels affective pain, total pain intensity and longer pain duration, days duration of dysmenorrhea, and years duration of dysmenorrhea than women with endometriosis and adenomyosis; (2) women with adenomyosis perceived higher impacts on overall QOL and the five sub-
dimensions of QOL thanwomen with endometriosis; (3) the affective aspect of pain, total pain intensity, number of pain site and age could positively predict the overall QOL and could explain 35.5% variance of total QOL. The findings suggest that dysmenorrhea is still a critical problem to women with endomentriosis and adenomyosis. Health care providers should put more attention on this issue and to enhance their life quality.
